ArticleBMC health services research2025
Barriers and facilitators to accessing healthcare services among elderly people living in a rural Amazonian community, Brazil.
Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
2 citing papers in PubMed.
- Identifying factors influencing HIV testing behavior among high-risk elderly men: a mixed-methods study incorporating structural equation modeling and thematic framework.BMC infectious diseases · 2026Article
- Vitamin D and Postoperative Recovery in Elderly Ribeirinhos-Riverside Amazon Communities with Femur Fractures.Clinics and practice · 2025Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundHealth care utilisation is determined by complex interactions. Older adults living in rural areas appear to face greater barriers to health care, particularly in areas of the Amazon region. The aim of this study was to examine the relationships between predisposing, enabling, and need characteristics, and utilisation of medical services among elderly people living in rural areas in Amazon region, Brazil.
methodsA household-based cross-sectional study with 285 elderly people aged 60 years or older living in a rural community in the Amazonas state, Brazil, was conducted. Interviews were used to collect data on predisposing (demographics), enabling (socioeconomic and health services factors), and need characteristics (self-reported health measures). The outcome was utilisation of medical services in the public health system in the last 12 months. Structural equation modelling was guided by Andersen’s behavioural model.
findingsUtilisation of medical services in the last 12 months was reported by 64% of the participants. Lower age (β = -0.138), poor internal housing conditions (β = 0.184), lower frequency of home visits by community health workers (β = -0.129), seeking the same health care service (β = 0.264) and regular use of medication (β = 0.212) directly predicted utilisation of medical services. Significant indirect effects were detected between predisposing (sex, being married, functional dependence), enabling (income, number of goods, external housing conditions, registration in primary care, distance between household and primary care unit), need characteristics (number of chronic diseases) and utilisation medical services in the last 12 months.
conclusionsThe determinants of utilisation of medical services among elderly people living in rural areas are complex and interconnected encompassing demographics, socioeconomic factors, characteristics of the health services, number of chronic diseases and regular use of medication.
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